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The plot takes place after the attack on Pearl Harbor, and include such missions as dogfights with Japan's top aces, torpedo runs against battleships, aerial reconnaissance, search and rescue, and ground and air support for the US Marine invasion forces. According to the developers, the story would have had "[...]a very specific story."

This game was mainly aircraft-based. It would've been almost exclusively singleplayer, but would have had two-player co-op and dogfighting. The game would have featured the ability to make choices based on the situation, such as ditching/bailing out, refuelling on an aircraft carrier, or landing on a land base. In addition, the player would have the ability to choose their aircraft, a feature similar to the ability to choose weapon loadout in the later Medal of Honor: Airborne. Each of those choices would have an effect on the mission. IE, the player may or may not be rescued if they choose to ditch in a remote location.

The game was cancelled due to its differences from the rest of the Medal of Honor series that came out prior- must obviously the fact that it was no longer taking place on the ground. The idea, however, did not die out. The idea, and possibly even the script, was brought to LucasArts, where it was developed into the game Secret Weapons Over Normandy. Most of the original ideas were kept and the game was released in 2003. A lot of the crew stayed on with the project even after it went to LucasArts, including music composer Michael Giacchino. The themes are even similar.